The prevalence of cigarette smoking among young Australians has declined significantly, yet shisha bars and delivery services are proliferating. A shisha delivery operator in Sydney reports 30–40 deliveries per Saturday, noting substantial business growth over three years. Regular customers span ages 30–40, while younger patrons typically use the service for special occasions.
Australia's tobacco tax structure creates significant business challenges. Importers face $1,300 fees per kilogram of shisha tobacco plus product costs. Though unlicensed shisha tobacco purchases are illegal, a substantial black market exists in Western Sydney.
Health Concerns
Dr Billy Stoupas emphasises misconceptions about shisha safety. He states that "one 45-minute session with a shisha is equivalent to smoking 100 cigarettes." The practice carries similar or greater risks than cigarettes, with potential for lung damage, emphysema, elevated heart rates, and increased blood pressure.
Waterpipe smoking delivers substantially higher chemical exposure — users inhale 2–3 times more nicotine and 20–30 times more tar than cigarette smokers.
Regulatory Environment
NSW Health guidelines require shisha smoking occur more than 4 metres from restaurant dining areas. However, limited regulation exists regarding tobacco composition, potentially allowing undiscovered toxins.
Social Trends
Shisha bars increasingly provide social alternatives for non-drinkers. The Australian Institute of Health and Welfare found one in 25 people smoked waterpipes in 2019. Usage has expanded beyond Middle Eastern communities to Asian and South Asian demographics.